Waving at Camera

These forms can be used by services providers who choose to refer youth to the 13th JD Diversion Program.

The only form that is REQUIRED is the referral. Some providers also prefer to utilize the ROI when making the referral.

Image by Jen Theodore
Boy Raising Hand
Image by Jeremy Thomas

Offense Specific Contract

(coming soon)

Image by Lynne Baltzer

Screening & Contract

These forms are used during the onboarding process when a youth is referred for Diversion Services.

All online forms are HIPPA compliant, housed on a secure server utilizing electronic signatures. Copies are received  by email. 

Smiling Teenage Boy

Diversion Contract

(coming soon)

13th Judicial District Diversion

P.O. Box 75

Merino, CO 80741

 info@13thjddiversion.org

(970)305-4638

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